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Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001279
NPI
1720063621
Tax ID
630695894
Effective Date
1/9/2004
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
301 22nd Avenue East
Jasper, AL 35501
United States
County
Walker
Phone
2053845358 (Phone)
Billing Details
Address
301 22nd Avenue East
Jasper, AL 35501
Billing Phone
2053845358
Specialty Type
Chiropractic Medicine
Map
Address